Hemorrhoids (Piles) are widespread diseases, and they appear in the form of
itching, bleeding, and discomfort in the anal area, which are swelling of the veins of the
anus and lower part of the rectum. Hemorrhoids may be internal to the rectum or
external as they occur under the skin around the anus. It occurs due to increased
pressure inside the abdominal cavity and pelvis due to constipation or pressure on veins
during pregnancy. Many effective treatment options are available, and most sufferers
can relieve symptoms by using home remedies, lifestyle changes after excluding other
causes of anal bleeding. Most people over 30 years old have suffered from piles or
some symptoms. Many patients do not like to explain that they have an infection in the
anus or rectum region. As a result, such patients do internet searches for medications
and remedies for this type of condition, which produces a plethora of misleading and
superfluous material, as well as wrong information. Also, doctors sometimes cannot
decide how to operate when dealing with hemorrhoid removal. For these reasons, we
conducted this study to give information about all of the available treatment techniques
and compare them using the multi-criteria decision making (MCDM) or multi-criteria
decision analysis method fuzzy TOPSIS analysis technique. The treatment techniques
discussed in this study are seven nonsurgical techniques (Fiber-diet with water, the
enema, ice usage, creams, IR coagulation, rubber band ligation, and sclerotherapy) and
three surgical techniques namely stapled hemorrhoidectomy, laser hemorrhoid surgery,
open or closed hemorrhoidectomy. Also, the parameters used are (total cost, efficiency,
recovery period, survival rate, practicality, comfortability, hospitalization time, and procedure time, all gathered from previously recorded information of hospitals,
doctors, or patients. This information for each technique is analyzed, ranked, and
compared using the previously mentioned TOPSIS MCDM technique.
Keywords: Anal Canal, Fuzzy TOPSIS, Hemorrhoids, Hemorrhoidectomy,
Multi-Criteria Decision-Making.
